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Individual

DR. JEFFREY SCOTT UPPERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD065816L
PA
208600000X
Surgery Physician
60192
TN
2086S0120X
Pediatric Surgery Physician
Primary
60192
TN
2086S0120X
Pediatric Surgery Physician
G87706
CA

Other

Enumeration date
02/24/2006
Last updated
04/18/2024
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